Medical AR Specialist
Houston, TX
Category: Healthcare
Reference ID: 10068079
Shortcut: http://addisongroup.gosnaphop.com/PfPs93
Job Title: Medical AR Specialist
Location: Houston, TX (Local Houston candidates only)
Industry: Healthcare / Revenue Cycle Management
Pay: $23–$25 per hour
Job Type: Contract
Benefits: This position is eligible for medical, dental, vision, life insurance and 401k.
About Our Client:
Addison Group is partnering with a healthcare organization seeking an experienced Medical AR Specialist to support high-level denial resolution and payer collections. This role is ideal for someone who has strong appeals experience, is comfortable working complex claims, and enjoys problem-solving within a fast-paced revenue cycle environment.
Job Description:
The AR Specialist will manage escalated accounts receivable cases, focusing on high-dollar claims, denial resolution, and appeal creation. This role requires strong payer communication skills, analytical thinking, and the ability to investigate claim issues thoroughly to drive payment resolution.
After a short onsite training period, this role will transition to a flexible hybrid work arrangement.
Key Responsibilities:
- Manage escalated accounts receivable cases and resolve complex claims.
- Follow up directly with insurance payers to address denials, rejections, and underpayments.
- Draft and submit custom appeal letters to support claim reconsideration.
- Investigate high-dollar claims, typically $10,000 or more, to identify root causes and payment solutions.
- Analyze EOBs and remittance advice to determine appropriate next steps for claim resolution.
- Collaborate with internal teams to correct billing issues and resubmit claims when necessary.
- Maintain accurate documentation of all payer communication and account activity.
- Identify trends or systemic issues impacting reimbursement and escalate when appropriate.
Qualifications:
- 3+ years of medical collections experience required, specifically handling denials and appeals.
- Strong experience communicating directly with payers regarding claim escalations.
- Experience working high-dollar claims ($10K+) required.
- Experience writing custom appeals (not just using templates).
- Specialty experience such as infusion, oncology, dialysis, or biologic therapies preferred.
- Professional billing experience preferred; facility experience considered if working directly with payers.
- Strong EOB interpretation and claims analysis skills.
- Highly proficient with multiple systems and payer portals.
- Reliable, organized, and able to thrive in fast-paced or evolving environments.
- High school diploma or GED required.
Additional Details:
- Schedule: Monday–Friday, 8:00am–4:30pm (flexibility available if needed)
- Work Model: Hybrid (onsite training, then flexible hybrid schedule)
- MUST be local to Houston
- Assignment Type: Contract
- Environment: Business office revenue cycle team
- Start Date: ASAP
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
IND 004-007
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